Individual provider Active NPI

Adrian Scott Worthen, M.D.

  • Internal Medicine Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1003264417
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-20570 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-4049
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-20570 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-4049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126000777 HI Practitioner - Emergency Medicine 1355774704 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ko Olauloa Health CenterGroup PAC ID 0941259394, 9 clinicians

Practice addresses (Care Compare)

56 -117 Pualalea St
Kahuku, HI 96731-2052
Phone (808) 293-9231

Hospital & facility affiliations

  • Kahuku Medical Center Hospital, Kahuku, HI, CCN 121304
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-20570HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ko Olauloa Health Center CurrentSince Aug 1, 2020 Accepting new patients
Ko Olauloa Health Center Current Accepting new patients
Midpacific Hospitalists LLC Internal Medicine CurrentSince Sep 20, 2019 Accepting new patients
Ko Olauloa Health Center Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients

Locations

54-316 Kamehameha Hwy
Ste 6
Hauula, HI 96717
Phone (808) 293-9216

56-490 Kamehameha Hwy
#R104
Kahuku, HI 96731

56-119 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9231

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/59b2bfcf-adfa-48b5-8352-526929b8ba96/
  • Direct secure messaging: adrian.worthen.1@28735.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1003264417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "ADRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-20570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.